2015, Number 2
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An Med Asoc Med Hosp ABC 2015; 60 (2)
Translocated ectopic intrauterine device: case report and laparoscopic treatment
Flores VAE, Linder EC, Norén MG
Language: Spanish
References: 20
Page: 148-150
PDF size: 230.79 Kb.
ABSTRACT
It is estimated that the risk of uterine perforation during insertion of an intrauterine device is 0.5-1:1,000 procedures. Major risk factors include lack of experience in insertion, position of the uterus, pelvic inflammatory disease and adhesive processes. Asymptomatic presentation is rare; however, since some cases of uterine perforation may not be recognized immediately, it is advisable to examine the patient six weeks following the insertion to confirm the location of the intrauterine device. Pelvic ultrasound or X-rays (where there is no availability of ultrasound) are used as cabinet studies to determine the location of the intrauterine device or if perforation is suspected. If ultrasound does not reveal the location of the intrauterine device, X-rays of the pelvis and abdomen should be obtained at the suspicion of expulsion or translocation.
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